1007 W 6 St; 18-4191; ELECTRICALCITY OF
PERMIT APPLICATIONkNFORD
V BUILDING DIVISION C7
Application No: 2
Documented Construction Value: $ T 6 D ,,
Job Address: r 10 (1(,(m C, I 1 Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration tVReepair Demo Change f Usje Move
Description of Work: 1. I
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Name Roy r Phone:
Street: l DOI City,
State Zip: I i - ` / Title:
Resident
of property? : 1
0
Contractor Information Q
I Name
l - 6ibb5 Phone: H oq — V Street:
Wq, AvL City,
State Zip:dxub& fla Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
State
License No.: Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to
the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that
a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6a' Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public
records of this county, and there may be additional permits required from other governmental entities such as water management districts, state
agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date
1 )1
Print wner/Agent's Name
NSignatureofNotary, 'orida FloridaNotaryPublicStale
Commission # GG 060623
Expires Jan 16, 2018lF `o?c My Comm
Owner/Agentk s nally-Known to Me or
Produced ID Type of ID
Signature of Contr ctor/Agent Date
ke
Co.tract.r/As Name ,
V iJ
Signature ofNotary-State of-FloridY—
ANNETTE BLAND
We,
Notary Public - State of FloridaYCommission # GG 060 2231gVYtf4m. Expi tAl wn to Me or
Pr'o`ZC e
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes []No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
SEMINOLE COUNTY MULTIIURISDICTIOIdAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
a .here.by name and, appok :,__
an agent df: L' + C. E
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
All permits and applications submitted by this contractor.
Or
Lj The specific permit and appr"rcat'ron for work rocatedP at:
Street Address)
Expiration Date for This Limited Power of°Attorney:
License Holt:
State )Lricens
SNgr?Iatvre ;of
STATE OF FLORIDA
COUNTY OF i/"'1-7')
The foregoing instrument was acknowledged before me this day of ,
20 , by
0 who has produced
and who did (did not) ttalce an oath..
JOREAN F. WASHINGTON1PPvPVB •i
Notary Public - State of Florida
Commission p GG 040753
My comm. Expires Oct 23, 2020EO d'• Bonded through National Notary Assn.
who is personally known to me or
as i(fentfficatbn
Pra-t-or:type Notary name
Notary Public - State -off
Commission No. zQr U 3
My Commission 'Expires: ')c f 31 a 0 Z 0
Pronosal
PROPOSAL N0.
SHEET NO.
DATEl PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT:
NAME % y ADDRESS
ADDRESS
D Z W'05
DATE OF PLANS
Co l 7 7 1
PHONE NO. ARCHITECT
We hereby propose to furnish the materials and perform the labor necessary for the completion of
CJ4 3 " 4
C ' A,v o qZ'L wife- k &a e,-
Lg p00
All material is guaranteed to be as specified, and the -above work to be performed in accordance with the drawings and specifications submitted for above work and
completed in a substantial workmanlike manner for the sum of
Dollars ($ R ' (S • ) with payments to be made as follows.
6 a' P4 4 Soo, rsv
Z eve
ostsextra
charge
Any alteration or deviation from above
r, and ill be
involving
anwillbeexecutedonlyuponwrittenorder, and will become an extra charge Respectfully QAoverandabovetheestimate. All agreemerds contingent upon strikes, submitted
accidents, or delays beyond our control.
Per
Note — this proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as
outlined above.
1
Signature I
Date / Signature
adems D8118
3-12
Prepared by:
Christopher V. Butler, Attorney at Law
200 E. Commercial Street Ste #2
Sanford, FL 32771
P:321-283-6822
TO MANAGE REAL PROPERTY ONLY)
KNOWN ALL MEN BY THESE PRESENT that I, TALENA MILLER, as Principal, a
resident of, and domiciled, in VOLUSIA County, Florida, have this day made, and do hereby
constitute and appoint my brother CARDELL MOYE and my Mother, BARBARA A.
MILLER as my true and lawful attorney -in -fact, who is individually referred to in this
instrument as my "Agents" and who individually shall exercise any and all of the powers set
forth hereinafter.
ARTICLE I
My Agents are authorized in their sole and absolute discretion from time to time and at any time
with respect to any and all of my property and interests in property, real, personal, tangible and
intangible, as follows: Specifically, the Real property located at 1007 W. 611 Street Sanford,
FL 32771.
A. Power to Manage and Encumber Real Property.
To lease, sublease, and release; to eject and remove tenants from said property and to recover
possession thereof by lawful means; to contest tax assessments; to subdivide, develop, dedicate
to public use and grant easements, with or without compensation; to demolish or repair; to
mortgage or otherwise encumber; with all of the above powers to refer to real property now or
hereafter owned by me, or acquired by my Agent;
ARTICLE II
It is the Principal's intent as follows:
A. This instrument shall be construed as giving and granting unto my said attorney -in -facts full
power and authority to do and perform all and every act whatsoever requisite and necessary to be
done as fully to all intents and purposes as I might or could do if I were personally present,
hereby ratifying and confirming all that my said attorney -in -fact shall lawfully do or cause by
virtue of these present.
B. It is my intention in signing this instrument that I am signing a limited power of attorney
giving my aforesaid named Agents power to act in my place and stead completely and
unequivocally as if I, myself, were present to so act, and that this power of attorney shall in all
respects be construed or considered as general and not as specific in any manner.
IN WITNESS WHEREOF, I have executed this Durable Power of Attorney on this 26th
day of JUNE, 2018.
TALENA MILLER, Principal
Signed, sealed and delivered.
I he presence of1'/
Witness #1 (Signature)
Print Name
STATE OF FLORIDA
Witness #2 (Signature)
c d-e_' v xn
Print Name
COUNTYOF Sworn
to and subscribed before me e` Tf`" on thisc2bf__ day of , 2018, by
the Principal, T. tlel j 1v , who produced a valid FL ID and who is known to me to
be the person described herein and the person who executed the foregoing instrument freely and
voluntarily and for the uses and purposes therein expressed. CHRISTOPHER
V, BUTLER MY
COMMISSION If FF 1019 EXPIRES:
September 0, 2018 N
TfOF
F6p`pc BaldedThru aWgtl NotaryStrilco SEAL)
Cam—
V NOTARY
PUBLIC My
Commission Expires.